MARK VAN DOREN (NPI# 1740370642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740370642 |
| Entity Type | Individual |
| Full Name | MARK VAN DOREN |
| Credential | C.R.N.A. |
| Practice Address |
1501 E Mockingbird Ln Suite 101 Victoria TX 77904-2155 |
| Practice Telephone | 3615736291 |
| Practice Fax Number | 3615762434 |
| Mailing Telephone | 3615736291 |
| Mailing Fax Number | 3615762434 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 557932 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 83044U | 01 |
| TX | 002896105 | 05 |
| Street Address |
1501 E MOCKINGBIRD LN SUITE 101 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003806464 | Jeffrey Fred Davang | Anesthesiology | 1501 E Mockingbird Ln, 101, Victoria, TX 77904-2155 | 2005-10-26 |
| 1851662142 | Ryan Christopher Toney | Anesthesiology | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2012-01-19 |
| 1881991339 | Jide Omosewo | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2011-02-18 |
| 1679803803 | Leonard Paul Linke Jr. | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2010-01-11 |
| 1912140641 | Grant E Vanmeter | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #220, Victoria, TX 77904 | 2009-04-10 |
| 1255592200 | Lucille Mary Pickney | Anesthesiology | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2008-06-23 |
| 1356509756 | New Beginnings | Counselor | 1501 E Mockingbird Ln, Suite 262, Victoria, TX 77904-2155 | 2008-06-02 |
| 1669646303 | Stuart Mellett Connell | Anesthesiology | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2008-04-14 |
| 1437203924 | Cheryl Ann Green | Social Worker | 1501 E Mockingbird Ln, Suite 262, Victoria, TX 77904-2139 | 2007-01-22 |
| 1821177940 | Ernest L Stone | Anesthesiology | 1501 E Mockingbird Ln, Ste 101, Victoria, TX 77904-2155 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770654006 | Gregory Scott Marchetti | Nurse Anesthetist, Certified Registered | 8799 Ridge Ponds Cir, Victoria, MN 55386-9554 | 2006-11-10 |
| 1851480354 | John Hagan | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 220, Victoria, TX 77904-2194 | 2006-10-12 |
| 1356888325 | Danielle Burns | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 101, Victoria, TX 77904-2178 | 2017-01-27 |
| 1831588326 | Sarah E Mueller | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 101, Victoria, TX 77904 | 2015-01-21 |
| 1538594916 | Natalie Dawn Chilton | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Lane, #220, Victoria, TX 77904-2194 | 2013-09-04 |
| 1881991339 | Jide Omosewo | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2011-02-18 |
| 1679803803 | Leonard Paul Linke Jr. | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2010-01-11 |
| 1912140641 | Grant E Vanmeter | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #220, Victoria, TX 77904 | 2009-04-10 |
| 1285882712 | Victoria Metro Anesthesia | Nurse Anesthetist, Certified Registered | 6242 N Navarro St, Victoria, TX 77904-1705 | 2008-09-09 |
| 1265522130 | Ralph Smith | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2006-10-13 |
| Find all providers in VICTORIA | ||||
Please comment or provide details below to improve the information on MARK VAN DOREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.